PARAMEDIC PROGRAM INFORMATION ASSOCIATE IN APPLIED SCIENCE

Size: px
Start display at page:

Download "PARAMEDIC PROGRAM INFORMATION ASSOCIATE IN APPLIED SCIENCE 2014-2015"

Transcription

1 Ridgewater/HCMC Paramedic Training Program PARAMEDIC PROGRAM INFORMATION ASSOCIATE IN APPLIED SCIENCE Thank you for your interest in the Ridgewater College/Hennepin County Medical Center Paramedic program. Please read the following information carefully and let us know if you have any questions. Overview The Ridgewater College/Hennepin County Medical Center Paramedic program is committed to providing the highest quality Emergency Medical Paramedic program with rigorous and comprehensive didactic instruction, extensive hands-on educational/training labs, and broad clinical experiences. In addition to maintaining the standards established by CAAHEP, our program outcomes include academic and professional standards designed to meet the expectations of Health Care Organizations and ensure that graduates are prepared to provide safe and effective patient care. Paramedic classes are currently held Tuesday and Thursday from 6-10pm and approximately one Saturday a month from 8-4:30pm. In addition, ambulance and hospital clinicals will require approximately 600 hours scheduled at ambulance/healthcare facilities at multiple locations. Note, clinical assignments include both hours and patient contacts, and the hours required to complete the patient contacts may impact the total clinical hours. The Ridgewater College/HCMC Paramedic program offers two program options that are designed for two distinct populations of students. 1. The AAS degree is designed for traditional students. 2. The diploma is designed for individuals with extensive EMT experiences and who meet additional admission requirements.

2 Ridgewater/HCMC Paramedic Program Paramedic AAS Degree Admission Requirements Complete the paper Paramedic application available to print on the Paramedic page of Graduate from an accredited high school or GED certification $20 Application Fee Current driver s license Accuplacer assessment scores as follows: Admission Criteria Table: Required Assessment Test Scores or Course Equivalents ACCUPLACER Score Developmental Coursework College-Level Coursework Reading 78 or higher on Reading Comprehension Test OR "C" or higher in English 99 or equivalent OR "C" or higher in a college-level reading course English 86 or higher on Sentence Skills Test AND 78 on Reading Comprehension Test OR "C" or higher in ENGL 94 AND ENGL 99 OR "C" or higher in ENGL 121 or equivalent Math 56 or higher on Elementary Algebra Test OR "C" or higher in MATH 97 or equivalent OR "C" or higher in college-level math course Note: If you would like to take the ACCUPLACER test at Ridgewater College, please call Alicia Just in Hutchinson or Jane Friedrich in Willmar at or contact any of the MNSCU two-year colleges. If you have already taken the ACCUPLACER elsewhere please let us know. If you have taken courses at another MNSCU college/university please list them on your application and we can get your official transcripts. You do not need to request them. If you have college transcripts from a private or out of state college/ university you will need to request that official copies be sent directly to the Admissions Office Attention: Stacey Kohn If you have any questions regarding admission please contact Sally Kerfeld, Director of Admissions at or ALL APPLICATION MATERIALS application, high school transcript/ged, application fee and any other required documentation must be mailed or FAXED to: Stacey Kohn Ridgewater College 2 Century Avenue SE Hutchinson, MN Fax

3 After Application/Acceptance In addition to the admissions requirements, completion of background study and immunizations are mandatory. Accepted students who do not fulfill these requirements will lose their space in the program. MN Human Services Background Study is required prior to all clinical experiences. Minnesota Human Services requires any individual having contact with patients to complete a background study prior to starting clinical experiences. An individual may be disqualified from having patient contact and would not be permitted to participate in the clinical experience. o Note, the background study is completed by the college when student enroll. Individuals with concerns or questions should discuss with the Paramedic Advisor. Completion of the Health Information Packet which includes documentation of current immunizations for rubella, chicken pox and mumps (Hepatitis B and a Mantoux test is also required), and a physical examination. o The Physical Examination and Health Information Packet should be completed prior to the Paramedic Orientation session.. Individuals with concerns or questions should discuss with the Paramedic Advisor. Paramedic AAS Degree Program Course Planner Fall Semester 1 Cr Spring Semester 1 Cr Emergency Medical Technician 1 4 BLS Internship 2 Prior to beginning courses, all previous Emergency Medical Technician 2 3 transcripts should be evaluated for transfer General Education Courses 6 General Education Courses 10 credits. Subtotal Credits 13 Subtotal Credits 12 Summer Term Cr Fall Semester 2 Cr Spring Semester 2 Cr Introduction to Emergency Care 1 Pharmacology for the Paramedic 2 Ambulance Operations II 2 Anatomy & Phys for the Paramedic 2 ACLS Provider 1 Shock and Trauma 3 Ambulance Operations I 1 Cardiology 4 Special Populations 3 Airway and Patient Assessment 2 Medical Emergencies 4 Clinical II 3 Field Clinical 2 Clinical I 2 Field Internship 3 Pulmonology 1 Field Clinical II 2 PALS Provider 1 Subtotal Credits 9 Subtotal Credits 15 Subtotal Credits 15 Total Credits Required: 64 (Pending MnSCU approval) All students must complete the EMT training before taking the BLS internship. Both EMT certification and successful completion of the BLS internship are required prior to taking any Paramedic courses.

4 Ridgewater College/Hennepin County Medical Center Acute Care Paramedic AAS Degree Educational Plan (64 credits) Paramedic Courses (48 Credits Required) EMS 1116 Emergency Medical Technician EMS 1118 Emergency Medical Technician EMSP 1096 BLS Internship... 2 EMSP 1502 Introduction to Emergency Care... 1 EMSP 1504 Anatomy & Phys for the Paramedic... 2 EMSP 1506 Pharmacology for the Paramedic... 2 EMSP 1510 Ambulance Operations I... 1 EMSP 1530 Airway and Patient Assessment... 2 EMSP 1540 Shock and Trauma... 3 EMSP 1552 Pulmonology... 1 EMSP 1554 Cardiology... 4 EMSP 1560 Medical Emergencies... 4 EMSP 1570 Special Populations... 3 EMSP 1580 Clinical I... 2 EMSP 1582 Clinical II... 3 EMSP 1590 Field Clinical... 2 EMSP 1592 Field Clinical II... 2 EMSP 1596 Field Internship... 3 EMSP 1512 Ambulance Operations II... 2 EMSP 1600 ACLS Provider... 1 EMSP 1602 PALS Provider... 1 General Education (16 Credits Required) Choose at least one course from the following list: ENGL 121 College Composition I... 3 CMST 121 Intro to Communications... 3 CMST 226 Interpersonal Communications... 3 Choose at least one course from the following list; BIOL 108 Human Biology... 4 BIOL 210 Human Anatomy... 4 BIOL 211* Human Physiology... 4 Choose at least one course from the following list: PSYC 131 Introduction to Psychology... 4 SOC 105 Introduction to Sociology... 3 SOC 106 General Social Problems... 3 SOC 242 Racial and Cultural Minorities... 3 PSYC 263** Developmental Psychology... 3 General Education Electives: A minimum of 16 credits of general education courses are required for this degree. General education elective courses may be selected from any MNTC goal area. Elective courses should be selected with recommendation from advisor. Notes: *BIOL 210 and CHEM 101 or higher are prerequisites for BIOL 211 **PSYC 131 is a prerequisite for PSYC 263 (Note, Pending MnSCU Approval)

5 Ridgewater/HCMC Paramedic Program Application Name (Last, First, Middle) Date of Application Name used in high school records or in other educational records and transcripts, if different from above (optional) (Last, First, Middle) ADMISSIONS INFORMATION Are you applying for *Paramedic Diploma Option (for current EMT only) or Paramedic AAS Option? *If applying for the Diploma option - submission of additional information is required for approval Which site? Hennepin County Medical Center Ridgewater - Hutchinson/Willmar Social Security Number Current Mailing Address (Street, Rural Route, House/Apartment Number, P.O. Box) (City, State, ZIP, County) Permanent Mailing Address (Street, Rural Route, House/Apartment Number, P.O. Box) (City, State, ZIP, County) Home Phone Cell Phone Address Are you a resident of Minnesota? Yes No If yes, how long? Years Months If no, of which state are you a resident? How long? Years Months Are you a U.S. citizen? Yes No If no, do you have status as: Resident alien Refugee/asylee Temporary protected status None of these If you answered none of these, do you have or intend to apply for a visa? Yes No (If you answered yes, you must contact the Admissions Office at Ridgewater College to determine whether a separate application is required.)

6 What is the highest level of education for your parent(s)/guardian(s)? Please respond for the parent(s), stepparent(s), adoptive parent(s) or guardian(s) who raised you. Check only one box for each parent/guardian. Parent/Guardian #1 No high school diploma High school diploma Some college 2-year college degree/diploma Bachelor s degree or higher Not sure/don t know Parent/Guardian #2 No high school diploma High school diploma Some college 2-year college degree/diploma Bachelor s degree or higher Not sure/don t know ADMISSIONS INFORMATION What term do you intend to begin taking Paramedic courses? Summer Semester of Have you attended this college/university before? Yes No If yes, last date attended? EDUCATIONAL INFORMATION Do you have a high school diploma? Yes No High school graduation date If no, do you have a GED? Yes Are you currently in high school? Yes No High school attended (City, State, Dates of Attendance, Degrees Earned) List ALL other post-secondary institutions attended. Official transcripts from each institution attended must be sent directly to the Admissions Office of Ridgewater College. (We can electronically obtain MnSCU college transcripts) Are you a high school student planning to take college courses under the Minnesota Post-Secondary Enrollment Options program (PSEO)? Yes No If yes, please contact your high school counselor and also the Admissions Office of Ridgewater College.

7 DEMOGRAPHIC INFORMATION: The following information will help Ridgewater College evaluate student recruitment and retention policies; it will not be used as a basis for admission. Providing this information is voluntary. Gender: Male Female Are you Hispanic or Latino (a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American or other Spanish culture, regardless of race)? Yes No Race and ethnic background (select any that apply): American Indian or Alaska native (A person having origins in any of the original peoples of North, Central or South American & who maintains tribal affiliation or community attachment) Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent) Black or African American (A person having origins in any of the black racial groups of Africa) Native Hawaiian or other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands) White (A person having origins in any of the original peoples of Europe, the Middle East or North Africa) Notice to Students Regarding Possible Impact of Criminal Records: If you have been arrested, charged or convicted of any criminal offense, you should investigate the impact that the arrest, charge or conviction may have on your chances of employment in the field you intend to study or on your chances to obtain federal, state, and other higher education financial aid. SIGNATURE REQUIRED BY ALL APPLICANTS All of the information included is true and complete to the best of my knowledge. I understand if I am pursuing the DIPLOMA option as an experienced EMT, approval from the Ridgewater/HCMC Paramedic Operations Council is required. Applicant s Signature Date Application and all supporting documents must be mailed to: Ridgewater College Attn: Stacey Kohn - Admissions 2 Century Avenue SW Hutchinson MN 55350

PARAMEDIC PROGRAM INFORMATION Associate in Applied Science Summer 2015

PARAMEDIC PROGRAM INFORMATION Associate in Applied Science Summer 2015 Ridgewater/HCMC Paramedic Training Program PARAMEDIC PROGRAM INFORMATION Associate in Applied Science Summer 2015 Thank you for your interest in the Ridgewater College/Hennepin County Medical Center Paramedic

More information

PARAMEDIC PROGRAM INFORMATION Associate in Applied Science Summer 2016. Overview

PARAMEDIC PROGRAM INFORMATION Associate in Applied Science Summer 2016. Overview Ridgewater/HCMC Paramedic Training Program PARAMEDIC PROGRAM INFORMATION Associate in Applied Science Summer 2016 Thank you for your interest in the Ridgewater College/Hennepin County Medical Center Paramedic

More information

Post-Secondary Enrollment Options Application Instructions

Post-Secondary Enrollment Options Application Instructions Post-Secondary Enrollment Options Application Instructions Please read and follow directions carefully. Incomplete applications will be returned. Step 1: Students: Complete the Applicant Information portion

More information

NON-DEGREE STUDENT APPLICATION PROCESS

NON-DEGREE STUDENT APPLICATION PROCESS NON-DEGREE STUDENT APPLICATION PROCESS Thank you for your interest in taking classes as a non-degree student at St. Mary s College of Maryland. Individuals who wish to take a limited number of credit classes

More information

APPLICATION. 1540 Northway Drive St. Cloud, MN 56303-1240 (320) 308-5089 Fax (320) 308-5981 TTY (320) 308-5988 www.sctcc.edu

APPLICATION. 1540 Northway Drive St. Cloud, MN 56303-1240 (320) 308-5089 Fax (320) 308-5981 TTY (320) 308-5988 www.sctcc.edu APPLICATION 1540 Northway Drive St. Cloud, MN 56303-1240 (320) 308-5089 Fax (320) 308-5981 TTY (320) 308-5988 www.sctcc.edu Applying to St. Cloud Technical & Community College Five A s Lead The Way! 1.

More information

Century College, an affirmative action, equal opportunity employer and educator is a member of the Minnesota State Colleges and Universities System.

Century College, an affirmative action, equal opportunity employer and educator is a member of the Minnesota State Colleges and Universities System. Century College, an affirmative action, equal opportunity employer and educator is a member of the Minnesota State Colleges and Universities System. This document is available in alternative formats to

More information

SOUTHEASTERN TECHNICAL INSTITUTE

SOUTHEASTERN TECHNICAL INSTITUTE SOUTHEASTERN TECHNICAL INSTITUTE COSMETOLOGY CULINARY ARTS HEATING, VENTILATION AND AIR CONDITIONING APPLICATION FOR ACADEMIC YEAR 2016-2017 250 Foundry Street South Easton, MA 02375 Phone: 508.238.1860

More information

SOUTHEASTERN TECHNICAL INSTITUTE

SOUTHEASTERN TECHNICAL INSTITUTE SOUTHEASTERN TECHNICAL INSTITUTE DENTAL ASSISTING MEDICAL ASSISTING APPLICATION FOR ACADEMIC YEAR 201 6-2017 250 Foundry Street South Easton, MA 02375 Phone: 508.238.1860 Website: www.stitech.org Southeastern

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING. Accelerated Bachelor s Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Bachelor s Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

More information

APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET

APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET Thank you for your interest in Navarro College. Please take a moment to read the following instructions before completing this application. Please follow the

More information

NON-DEGREE/SPECIAL STUDENT ENROLLMENT

NON-DEGREE/SPECIAL STUDENT ENROLLMENT NON-DEGREE/SPECIAL STUDENT ENROLLMENT Enrolling as a non-degree student enables a person to take one or two graduate level social work courses per term in order to help focus their interests, to test capabilities

More information

CAMPUS ADMISSIONS APPLICATION

CAMPUS ADMISSIONS APPLICATION FORM 19-18 ASHFORD UNIVERSITY CAMPUS ADMISSIONS APPLICATION 2011/12 ACADEMIC YEAR I will be attending: Full-Time Part-Time Commuter Resident Freshman Transfer Student 1 Personal Information Start Date:

More information

Minnesota State Colleges & Universities Application for Admission

Minnesota State Colleges & Universities Application for Admission Minnesota State Colleges & Universities Application for Admission Directions: This application form may be used to apply to any of the 31 Minnesota State Colleges and Universities including state universities,

More information

Health Care Compliance Certificate

Health Care Compliance Certificate Health Care Compliance Certificate The Health Care Compliance Certificate provides the unique skills needed to guide a health care organization through the complex maze of government laws and regulations.

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu UNIVERSITY OF ROCHESTER SCHOOL OF NURSING RN to BS Program Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing combined RN to BS Program

More information

Running Start Program Application Information

Running Start Program Application Information Running Start Program Application Information Running Start for High School Seniors Running Start is a program offered at the Community College of Rhode Island for high school students who demonstrate

More information

University of Michigan STUDENT SERVICES: ADMISSIONS

University of Michigan STUDENT SERVICES: ADMISSIONS RACKHAM GRADUATE SCHOOL University of Michigan STUDENT SERVICES: ADMISSIONS 915 E. Washington Street 0120 Rackham Building Ann Arbor, MI 48109-1070 E-Mail: rackadmis@umich.edu www.rackham.umich.edu/prospective-students/admissions

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Nurse Practitioner Masters Program Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing Nurse Practitioner

More information

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader

University Of Rochester School of Nursing. Leadership in Health Care Systems Masters Program Clinical Nurse Leader University Of Rochester School of Nursing Leadership in Health Care Systems Masters Program Clinical Nurse Leader Thank you for your interest in the University of Rochester School of Nursing Clinical Nurse

More information

INTERNATIONAL ADMISSIONS REQUIREMENTS AND APPLICATION

INTERNATIONAL ADMISSIONS REQUIREMENTS AND APPLICATION INTERNATIONAL ADMISSIONS REQUIREMENTS AND APPLICATION All of the following requirements must be met by the admissions deadlines to be accepted to the college and before an I-20 form is issued. Note: Acceptance

More information

Bachelor of Science Nursing (RN to BSN)

Bachelor of Science Nursing (RN to BSN) Bachelor of Science Nursing (RN to BSN) Application Packet The Bachelor of Science in Nursing program (BSN) is accredited by the Commission on Collegiate Nursing Education (CCNE). Olympic College Mission

More information

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING PROGRAM APPLICATION www.msjc.edu/alliedhealth

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING PROGRAM APPLICATION www.msjc.edu/alliedhealth Fall Filing Period: February 1 st February 28 th It is the student s responsibility to request and ensure that all documents are in the Nursing & Allied Health Office by the application deadline. Office

More information

Food Safety and Inspection Service Research Participation Program

Food Safety and Inspection Service Research Participation Program Food Safety and Inspection Service Research Participation Program Application Date: Applicant Type: If other, please specify: Position Posting Number: 1. Name: First Name Middle Name Last Name Suffix 2.

More information

UNDERGRADUATE NON-DEGREE ENROLLMENT FORM

UNDERGRADUATE NON-DEGREE ENROLLMENT FORM UNDERGRADUATE NON-DEGREE ENROLLMENT FORM UNDERGRADUATE STUDENTS ONLY: You WILL NOT be eligible for non-degree enrollment if any of the following statements apply to you. If you have: n Previously attended

More information

Collection: Hispanic or Latino OR Not Hispanic or Latino. Second, individuals are asked to indicate one or more races that apply among the following:

Collection: Hispanic or Latino OR Not Hispanic or Latino. Second, individuals are asked to indicate one or more races that apply among the following: Overview: The United States Office of Management and Budget (OMB) issued standards for maintaining, collecting, and reporting federal data on race and ethnicity. On October 19, 2007 the Department of Education

More information

Graduate Certificate Application Form and Checklist

Graduate Certificate Application Form and Checklist Graduate Certificate Application Form and Checklist 6530 Haven Hall, 505 South State Street, Ann Arbor, MI 48109 Tel: (734) 615-3275 Email Application to: cogsciprog@umich.edu www.lsa.umich.edu/weinberginstitute

More information

Updated 01.22.14. Doctor of Pharmacy (Pharm. D.) Transfer Student Application

Updated 01.22.14. Doctor of Pharmacy (Pharm. D.) Transfer Student Application Updated 01.22.14 Doctor of Pharmacy (Pharm. D.) Transfer Student Application Doctor of Pharmacy (Pharm. D.) Transfer Student Application This application is for students interested in transferring to the

More information

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING (LVN-RN) APPLICATION www.msjc.edu/alliedhealth

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING (LVN-RN) APPLICATION www.msjc.edu/alliedhealth www.msjc.edu/alliedhealth Filing Period: September 1 st September 15 th Office Hours: Monday Thursday 8:00am to 5:00pm and Friday 8:00am to 11:00am It is the student s responsibility to request and ensure

More information

TRIO Student Support Services

TRIO Student Support Services TRIO Student Support Services Participant Application 2015-2016 Office Use Only Student Name: S# Reviewed By: First-Gen & Low-Income Disabled & Low-Income Low-Income Only First-Gen Only Disabled Denied/Not

More information

UNDERGRADUATE TEACHER CERTIFICATION ENROLLMENT FORM

UNDERGRADUATE TEACHER CERTIFICATION ENROLLMENT FORM UNDERGRADUATE TEACHER CERTIFICATION ENROLLMENT FORM ELED, SPED and ECED are not available through the Teacher s Certification program. For any K 12 programs listed below, please seek advising from the

More information

Boones Creek Animal Hospital PLEASE COMPLETE THE FOLLOWING INFORMATION:

Boones Creek Animal Hospital PLEASE COMPLETE THE FOLLOWING INFORMATION: Boones Creek Animal Hospital PLEASE COMPLETE THE FOLLOWING INFORMATION: Job Applied For: q Receptionist q RVT q Assistant q Other HOW DID YOU LEARN ABOUT THIS POSITION? q Newspaper (List Publication) q

More information

Practical Nursing Diploma Program

Practical Nursing Diploma Program Nunez Community College Health & Natural Science Division 3710 Paris Road, Building D, 2 nd Floor Chalmette, Louisiana 70043 (504) 278-6380 Fax (504) 278-6381 www.nunez.edu Practical Nursing Diploma Program

More information

Employment Application An Equal Opportunity Employer

Employment Application An Equal Opportunity Employer Employment Application An Equal Opportunity Employer PO Box 520 76 East Market Street Xenia, Ohio 45385 937-352-4000 The Greene County Public Library considers applications for all positions without regard

More information

California Northstate University College of Pharmacy Transfer Student Application

California Northstate University College of Pharmacy Transfer Student Application California Northstate University College of Pharmacy Transfer Student Application California Northstate University College of Pharmacy Transfer Student Application This admission application packet is

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Instructions for Applicants to the DNP Program Web page address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing

More information

REQUIREMENTS FOR ORIGINAL OPTOMETRY LICENSURE

REQUIREMENTS FOR ORIGINAL OPTOMETRY LICENSURE REQUIREMENTS FOR ORIGINAL OPTOMETRY LICENSURE Applicants must have attained their 18 th birthday. The academic requirements are at least six calendar years at the college level, four years of which shall

More information

Nursing Application Packet

Nursing Application Packet KELLOGG COMMUNITY COLLEGE Admissions 450 North Avenue Battle Creek, MI 49017-3397 269 965 4153 Nursing Application Packet for the 2015 full-time/ 2016 part-time programs The deadline date for all Nursing

More information

PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY APPLICATION PROCEDURES

PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY APPLICATION PROCEDURES PUBLIC HEALTH - DAYTON & MONTGOMERY COUNTY APPLICATION PROCEDURES 1. A completed Application for Employment and Consent to Procurement of Consumer Credit Report are mandatory. The Office of Human Resources

More information

Admission Criteria: Application Instructions: TEAS Testing Information: Registration Process:

Admission Criteria: Application Instructions: TEAS Testing Information: Registration Process: Practical Summer 206 Application and Instructions (Please note that the start date is Summer Semester 206 with the Practical classes starting Fall 206) Admission Criteria: Must attend Information Session.

More information

ACHIEVE Human Services, Inc.

ACHIEVE Human Services, Inc. ACHIEVE Human Services, Inc. 3250-A East 40th Street, Yuma, AZ 85365 Phone: (928) 341-0335 Fax: (928) 341-9462 OUR MISSION STATEMENT: Empower the individuals that we serve to live their lives to their

More information

Medical Assistant. Information and Application. Start term: Spring 2016 (Day and Evening) Priority Application Deadline:

Medical Assistant. Information and Application. Start term: Spring 2016 (Day and Evening) Priority Application Deadline: Medical Assistant Information and Application Start term: Spring 2016 (Day and Evening) Priority Application Deadline: Start term: Fall 2016 (Day only) Priority Application Deadline: 3300 Century Avenue

More information

Neillsville Care & Rehab

Neillsville Care & Rehab 216 Sunset Pl Phone: (715) 743-5444 Fax: (715) 743-5448 An Equal Opportunity, Affirmative Action Employer Employment Application Position Applying for: PLEASE PRINT IN INK PERSONAL DATA LAST NAME FIRST

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Instructions for Applicants to the PhD Program Web page address: www.son.rochester.edu The University of Rochester School of Nursing uses a self-managed application

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT USE ONLY BLACK INK OR TYPEWRITER ON THIS FORM. INCOMPLETE APPLICATION MAY DISQUALIFY YOU FROM FURTHER CONSIDERATION. APPLICATION FOR EMPLOYMENT METROPOLITAN TRANSPORTATION AUTHORITY The MTA is an Equal

More information

Dental Hygiene Program

Dental Hygiene Program Dental Hygiene Program Information and Application 3300 Century Avenue North White Bear Lake, Minnesota 55110 651.773.1700 century.edu Century College is an equal opportunity, affirmative action employer

More information

Charleston Southern University College of Nursing APPLICATION CHECKLIST

Charleston Southern University College of Nursing APPLICATION CHECKLIST Charleston Southern University APPLICATION CHECKLIST This checklist does not need to be submitted with your application, but please use the information on this checklist to ensure that you have completed

More information

University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Package Augustana College 2015

University of Illinois College of Veterinary Medicine Coordinated Degree Program Application Package Augustana College 2015 Augustana College and University of Illinois Coordinated Degree Program Baccalaureate of Arts/Doctorate of Veterinary Medicine (BA/DVM) (version 8/28/2015) Augustana College and the College of Veterinary

More information

Ohio Civil Service Application forstateandcountyagencies

Ohio Civil Service Application forstateandcountyagencies Ohio Civil Service Application forstateandcountyagencies GEN-4268 (REVISED 01/12) ThestateofOhioisanEqualOpportunityEmployerandproviderofADAservices. POSITION: AGENCY: POSITION NUMBER: POSITION: DEPARTMENT:

More information

BACHELOR OF SCIENCE NURSING PROGRAM APPLICATION FOR ADMISSION (Please PRINT Clearly)

BACHELOR OF SCIENCE NURSING PROGRAM APPLICATION FOR ADMISSION (Please PRINT Clearly) IMPORTANT DEADLINES *Applications Due: February 15 for Fall Admission September 15 for Spring Admission *Must be received with the $20 application fee (paid by money order or cashiers check) by the deadline

More information

FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print)

FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print) FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print) FOR OFFICE USE ONLY CITY OF SPRINGFIELD, OHIO PERSONNEL DEPARTMENT 76 EAST HIGH STREET SPRINGFIELD, OHIO 45502 INSTRUCTIONS: Please fill out

More information

Each applicant to the Century College Nursing Program must complete the following prior to the application deadline:

Each applicant to the Century College Nursing Program must complete the following prior to the application deadline: Century College Admissions 2014-2015 Nursing Program Application Advising Review APPLICATION DEADLINES: SPRING 2015: JUNE 1, 2014 FALL 2015: FEBRUARY 1, 2015 New for Fall 2014: MANE member: Minnesota Alliance

More information

DANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456

DANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456 APPLICATION FOR EMPLOYMENT DANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456 INSTRUCTIONS: PLEASE READ CAREFULLY BEFORE COMPLETING THIS APPLICATION 1. The

More information

BACHELOR OF SCIENCE NURSING PROGRAM APPLICATION FOR ADMISSION (Please PRINT Clearly)

BACHELOR OF SCIENCE NURSING PROGRAM APPLICATION FOR ADMISSION (Please PRINT Clearly) IMPORTANT DEADLINES *Applications Due: March 1 for Fall Admission October 1 for Spring Admission *Must be received with the $20 application fee (paid by money order or cashiers check) by the deadline date.

More information

APPLICATION FOR EMPLOYMENT City of Los Altos

APPLICATION FOR EMPLOYMENT City of Los Altos APPLICATION FOR EMPLOYMENT City of Los Altos One North San Antonio Road, Los Altos, California 94022 (650) 947-2765 Fax (650) 947-2731 www.ci.los-altos.ca.us AN EQUAL OPPORTUNITY EMPLOYER FOR OFFICE USE

More information

REQUIRED KNOWLEDGE/SKILLS:

REQUIRED KNOWLEDGE/SKILLS: Sysco Portland, an Operating Company of North America s Leading Foodservice Distributor, is looking for an exceptional Contract Compliance Coordinator. PURPOSE OF POSITION: This position is responsible

More information

Millers College of Nursing 2151 Consulate Drive Suite, 10 & 11 Orlando, FL 32837

Millers College of Nursing 2151 Consulate Drive Suite, 10 & 11 Orlando, FL 32837 Congratulations on your decision to pursue your degree in nursing. The Millers College of Nursing offers a career pathway to the Bachelor of Science in Nursing. The pathway provides learning activities

More information

ATTORNEY APPLICATION FOR EMPLOYMENT DIVISION OF LAW DEPARTMENT OF LAW AND PUBLIC SAFETY STATE OF NEW JERSEY

ATTORNEY APPLICATION FOR EMPLOYMENT DIVISION OF LAW DEPARTMENT OF LAW AND PUBLIC SAFETY STATE OF NEW JERSEY ATTORNEY APPLICATION FOR EMPLOYMENT DIVISION OF LAW DEPARTMENT OF LAW AND PUBLIC SAFETY STATE OF NEW JERSEY The Division of Law provides legal counsel and representation to agencies of State government

More information

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING LVN-RN APPLICATION www.msjc.edu/alliedhealth

MT. SAN JACINTO COLLEGE ASSOCIATE DEGREE IN NURSING LVN-RN APPLICATION www.msjc.edu/alliedhealth www.msjc.edu/alliedhealth Filing Period: September 1 st September 15 th It is the student s responsibility to request and ensure that all documents are in the Nursing & Allied Health Office by the application

More information

Application for Employment

Application for Employment Application for Employment The Facility is an Equal Opportunity Employer. All employment decisions are made without regard to unlawful considerations of race, sex, sexual orientation, gender identity,

More information

Pages 1 of 8 Employment Application - Tennessee

Pages 1 of 8 Employment Application - Tennessee Page 1 of 8 Employment Application Tennessee College of Applied Technology Position Applying For: Personal Information: First Name: Middle Name: Last Name: Maiden Name (If applicable): Address: City: State

More information

University of Pikeville Elizabeth Akers Elliott Nursing Program

University of Pikeville Elizabeth Akers Elliott Nursing Program Elizabeth Akers Elliott Nursing Program Application The Elizabeth Akers Elliott nursing program is a twoyear (four semester program) leading to an Associate of Science Degree, with a major in nursing.

More information

APPLICATION FOR STUDENT EMPLOYMENT

APPLICATION FOR STUDENT EMPLOYMENT LAST NAME FIRST MIDDLE INITIAL APPLICATION FOR STUDENT EMPLOYMENT N-0613 (03-13) An Equal Opportunity Employer IT IS IMPORTANT TO NOTE THAT THIS APPLICATION IS FOR STUDENT EMPLOYMENT ONLY. We realize the

More information

Respiratory Care Technology

Respiratory Care Technology Respiratory Care Technology Most people take breathing for granted. It is second nature an involuntary reflex. However, for thousands of individuals who suffer from breathing problems, each breath is a

More information

STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION PERSONAL INFORMATION PREFERENCES EDUCATION COLLEGE/UNIVERSITY EDUCATION

STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION PERSONAL INFORMATION PREFERENCES EDUCATION COLLEGE/UNIVERSITY EDUCATION STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION State of Oregon Website: http://www.oregonjobs.org For instructions on where to submit your application please see the Description section

More information

I. Dual Credit General Information and Checklist

I. Dual Credit General Information and Checklist DUAL CREDIT APPLICATION PAPERWORK I. Dual Credit General Information and Checklist A. General Information Dual Credit is the broad term for various opportunities for students to take college coursework

More information

Follow the instructions at: http://cuny.edu/admissions/undergraduate/afteryouapply/after-you-applytransfer.html

Follow the instructions at: http://cuny.edu/admissions/undergraduate/afteryouapply/after-you-applytransfer.html CUNY School of Public Health at Hunter College Bachelor of Science (BS) in Community Health (COMHE) Departmental Supplemental Application And Instructions for Applying APPLYING IS A THREE-STEP PROCESS:

More information

Application. for Admission. Apply Online. W e s t c h e s t e r C o m m u n i t y C o l l e g e. at www.sunywcc.edu/apply

Application. for Admission. Apply Online. W e s t c h e s t e r C o m m u n i t y C o l l e g e. at www.sunywcc.edu/apply Apply Online at www.sunywcc.edu/apply W e s t c h e s t e r C o m m u n i t y C o l l e g e Application for Admission to an Associate Degree or Certificate program This application is for Matriculated

More information

High School Dual Enrollment Admission Application Form

High School Dual Enrollment Admission Application Form High School Dual Enrollment Admission Application Form Dual Enrollment: A Head Start on College. Mount Wachusett Community College offers multiple concurrent enrollment programs. Whether in high school

More information

Announcing MyKPSAHS.com!

Announcing MyKPSAHS.com! Attn: KPSAHS Applicants Announcing MyKPSAHS.com! You can now apply to KPSAHS programs online! This is an easy way for you to provide all of the information we need about you, your program(s) of interest,

More information

2008-09 First-year Application

2008-09 First-year Application 2008-09 First-year Application For Spring 2009, Fall 2009, or Spring 2010 Enrollment PERSONAL DATA p Female Legal name p Male Last/Family (Enter name exactly as it appears on official documents.) First/Given

More information

Lamar State College-Port Arthur Admissions Application 2015-2016

Lamar State College-Port Arthur Admissions Application 2015-2016 Lamar State College-Port Arthur Admissions Application 2015-2016 (Semester / Year) Major: BIOGRAPHICAL INFORMATION Are you applying for Dual Credit or Early Admissions? Consent to release application status

More information

Application for. Undergraduate Admission

Application for. Undergraduate Admission Application for Undergraduate Admission Applying as a freshman 1 Carefully 2 complete this application form. 3 Include a check or money order payable to St. Cloud State University in the amount of $20.

More information

APPLICATION FOR ADMISSION AND COMPETITIVE SCHOLARSHIPS. APPLY NOW! Discover what a renewable, sustainable education can mean to you.

APPLICATION FOR ADMISSION AND COMPETITIVE SCHOLARSHIPS. APPLY NOW! Discover what a renewable, sustainable education can mean to you. APPLICATION FOR ADMISSION AND COMPETITIVE SCHOLARSHIPS APPLY NOW! Discover what a renewable, sustainable education can mean to you. MORRIS.UMN.EDU 888-866-3382 If you are an international student (non-united

More information

Department of Psychology

Department of Psychology Department of Psychology Psychology Summer Enrichment Program Program Dates: May 19- June 27, 2014 Please send application, letters of recommendation and transcripts to: University of Detroit Mercy Doctoral

More information

Charleston Southern University Derry Patterson Wingo School of Nursing APPLICATION CHECKLIST

Charleston Southern University Derry Patterson Wingo School of Nursing APPLICATION CHECKLIST Charleston Southern University Derry Patterson Wingo School of Nursing APPLICATION CHECKLIST Applicant Name: Application Signed Handwritten Essay Planning Sheet (2 sheets)* Application Demographic Information

More information

Johns Hopkins University School of Medicine. Application for Postdoctoral Research Fellowship Training

Johns Hopkins University School of Medicine. Application for Postdoctoral Research Fellowship Training Johns Hopkins University School of Medicine Application for Postdoctoral Research Fellowship Training General Instructions for Completion of this Application Each section must be complete and legible or

More information

2015-2016 SAMPLE APPLICATION

2015-2016 SAMPLE APPLICATION 2015-2016 SAMPLE APPLICATION Pages in the Application 1. Eligibility 2. Student Information 3. Race and Ethnicity 4. Academic Information 5. Academic Plans 6. Activities 7. Work Experience 8. Financial

More information

College of Sequoias Associate Degree In Nursing Program Program Application Packet

College of Sequoias Associate Degree In Nursing Program Program Application Packet The College of Sequoias Registered Nursing Program welcomes your application. This packet contains all application instructions and forms required for program application. This packet is available on-line

More information

College of Sequoias Associate Degree In Nursing Program Program Application Packet

College of Sequoias Associate Degree In Nursing Program Program Application Packet The College of Sequoias Registered Nursing Program welcomes your application. This packet contains all application instructions and forms required for program application. This packet is available on-line

More information

The College of Science & Mathematics & Division of Global Learning & Partnerships Department of Nursing Application 2015-2016

The College of Science & Mathematics & Division of Global Learning & Partnerships Department of Nursing Application 2015-2016 The College of Science & Mathematics & Division of Global Learning & Partnerships Department of Nursing Application 2015-2016 Who should use this application form? This application is intended for the

More information

Transfer Application for Admission 2015

Transfer Application for Admission 2015 Transfer Application for Admission 2015 This application is for use by transfer applicants only. Freshman applicants must apply online via The Common Application (www.rowan.edu/applications). Transfer

More information

Lake Superior College Program Planner

Lake Superior College Program Planner Created on: 04/01/15 Effective: Spring 2016 Lake Superior College Program Planner Qualified applicants should be aware that program class sizes are limited, which may delay acceptance into the program.

More information

EMPLOYMENT APPLICATION An Equal Opportunity Affirmative Action Employer

EMPLOYMENT APPLICATION An Equal Opportunity Affirmative Action Employer Waukesha County Technical College 800 Main Street, Pewaukee, WI 53072 EMPLOYMENT APPLICATION An Equal Opportunity Affirmative Action Employer Position(s) Applied For Full Time Part Time Name Last First

More information

LINCOLN SCHOOL DISTRICT 156 410 157 th Street Calumet City, Illinois 60409-4798

LINCOLN SCHOOL DISTRICT 156 410 157 th Street Calumet City, Illinois 60409-4798 LINCOLN SCHOOL DISTRICT 156 410 157 th Street Calumet City, Illinois 604094798 Dear Applicant: APPLICATION FOR EMPLOYMENT FOR CERTIFIED PERSONNEL We welcome your application for employment in Lincoln Elementary

More information

WATONGA ELEMENTARY SCHOOL 900 North Leach Main Office: (580) 623-5248 P.O. Box 640 Facsimile: (580) 623-5238 Watonga, Oklahoma 73772

WATONGA ELEMENTARY SCHOOL 900 North Leach Main Office: (580) 623-5248 P.O. Box 640 Facsimile: (580) 623-5238 Watonga, Oklahoma 73772 WATONGA ELEMENTARY SCHOOL 900 North Leach Main Office: (580) 623-5248 P.O. Box 640 Facsimile: (580) 623-5238 Watonga, Oklahoma 73772 Website: www.watongapublicschools.com 2014-2015 STUDENT ENROLLMENT INFORMATION

More information

Washington State Association Of School Psychologists. MINORITY SCHOLARSHIP PROGRAM (2015) for Graduate Training in School Psychology

Washington State Association Of School Psychologists. MINORITY SCHOLARSHIP PROGRAM (2015) for Graduate Training in School Psychology Washington State Association Of School Psychologists MINORITY SCHOLARSHIP PROGRAM (2015) for Graduate Training in School Psychology Scholarship Application www.wsasp.org Mission Statement WSASP is aware

More information

College of Sequoias Associate Degree In Nursing Program Program Application Packet

College of Sequoias Associate Degree In Nursing Program Program Application Packet The College of Sequoias Registered Nursing Program welcomes your application. This packet contains all application instructions and forms required for program application. This packet is available on-line

More information

T.E.A.C.H. Early Childhood ALABAMA Bachelor Degree Scholarship Application for Child Care Center/Preschool Teachers

T.E.A.C.H. Early Childhood ALABAMA Bachelor Degree Scholarship Application for Child Care Center/Preschool Teachers GENERAL INFORMATION: Social Security Number: - - Date: Name: Address: Apt #: City: State: Zip: County: Phone: Home: ( ) Cell: ( ) Work: ( ) Email Address: Date of Birth (mm/dd/yyyy): / / Gender: Female

More information

Instructions You may You apply may apply for admission for admission online online at at wp.missouristate.edu/admissions/applynow.

Instructions You may You apply may apply for admission for admission online online at at wp.missouristate.edu/admissions/applynow. Instructions You may You apply may apply for admission for admission online online at at wp.missouristate.edu/admissions/applynow.htm www.wp.missouristate.edu/admissions/applynow.htm Use of this Form We

More information

SOUTHEASTERN TECHNICAL INSTITUTE APPLICATION FOR ACADEMIC YEAR

SOUTHEASTERN TECHNICAL INSTITUTE APPLICATION FOR ACADEMIC YEAR SOUTHEASTERN TECHNICAL INSTITUTE FULL- TIME PRACTICAL NURSE PROGRAM APPLICATION FOR ACADEMIC YEAR 2016-2017 250 Foundry Street South Easton, MA 02375 Phone: 508.230.1297 Website: www.stitech.org Practical

More information

Application for Admission

Application for Admission For Admission Office Use Only ID#: Last Name: First Name: Program: Semester: Entry date: Entry clerk: Application for Admission Massachusetts Bay Community College (MassBay) is committed to an open admission

More information

Jump-Start/Final Step Scholarship Application Checklist Teachers and Directors of Centers

Jump-Start/Final Step Scholarship Application Checklist Teachers and Directors of Centers Checklist Teachers and Directors of Centers Please submit all of the following information with your completed application. Complete application (all sections completed) Copy of child care center/family

More information

*Application Process for Beginning Students Fall 2014*

*Application Process for Beginning Students Fall 2014* *Application Process for Beginning Students Fall 2014* Please follow instructions carefully when filling out the application. Provide all information requested. If something does not apply to you, write

More information

*Application Process for Beginning Students Fall 2015*

*Application Process for Beginning Students Fall 2015* *Application Process for Beginning Students Fall 2015* Please follow instructions carefully when filling out the application. Provide all information requested. If something does not apply to you, write

More information

Pfeiffer University Department of Nursing. 2016 Application to Undergraduate Upper Division Nursing Major

Pfeiffer University Department of Nursing. 2016 Application to Undergraduate Upper Division Nursing Major Pfeiffer University Department of Nursing 2016 Application to Undergraduate Upper Division Nursing Major *Applicant: (Please print name) *Applications received or postmarked after February 1, 2016 will

More information

CALIFORNIA STATE UNIVERSITY, STANISLAUS School Of Nursing Accelerated Second Bachelors Nursing Program (ASBSN)

CALIFORNIA STATE UNIVERSITY, STANISLAUS School Of Nursing Accelerated Second Bachelors Nursing Program (ASBSN) Updated 3/27/15 CALIFORNIA STATE UNIVERSITY, STANISLAUS School Of Nursing Accelerated Second Bachelors Nursing Program (ASBSN) Application Deadlines University Application The application period to the

More information

T H E U N I V E R S I T Y O F G E O R G I A A P P L I C A T I O N F O R T R A N S F E R A D M I S S I O N PLEASE NOTE: The PDF applications are for review purposes only. Official applications must be submitted

More information

I. General Information

I. General Information SAN DIEGO STATE UNIVERSITY COLLEGE OF HEALTH AND HUMAN SERVICES SCHOOL OF NURSING LVN- RN 30- Unit Option Fall 2014/Spring 2015 I. General Information The LVN- RN 30- Unit Option is designed as a career

More information

A M E 8 ( F I R S T, M I D D L E, FA M I LY/ L A S T N A M E

A M E 8 ( F I R S T, M I D D L E, FA M I LY/ L A S T N A M E Welcome! Apply online at www.hamlineinfo.org/online (and get your admission decision faster!) About You Or complete and mail in this form. See page 8 for our mailing address. FRESHMAN APPLICATION NAME

More information